Individual Education

Plan
Student
Details
Student Ministry Designation
Name: (s):
Grade: IEP Activation
Date:
PEN: IEP Yearly Review
Date:
Date of Case Manager:
Birth:
Student Support Team: Role
:

Parent/Guardian
consulted on:

Student
Profile
My Interests: Lin
k:

My Learning Preferences: Link

:

What you need to know about me: Lin

k:

Core
Competencies
My
My My Focus
Strengths: Stretches Area
Personal
Skills
Personal
Awareness
Personal
Identity
Social Skills
Communication
Social
Responsibility
Intellectual
Skills
Critical
Thinking
Creative
Thinking
 Support and
Plans
Universal Essential
Supports Supports

Plans Date
 Student Core Competency-
Based Goals
I have authored my own goals: Yes, with some support Yes, with full support
Teacher/Support
Staff:
Goal/
Facet:

Objective: Instructional
Strategies:
Objective: Instructional
Strategies:

Student Core Competency-

Based Goals
I have authored my own goals: Yes, with some support Yes, with full support
Teacher/Support
Staff:
Goal
/
Face
t:
Objective: Instructional
Strategies:
Objective: Instructional
Strategies:

Student Core Competency-

Based Goals
I have authored my own goals: Yes, with some support Yes, with full support
Teacher/Support
Staff:
Goal
/
Face
t:
Objective: Instructional
Strategies:
Objective: Instructional
Strategies:
 Curricular Competency/Content-Based Goals
Course/Subj Teacher/Support
ect: Staff:
Learning
Standard:
Objectiv Instructional
e: Strategies:
Objectiv Instructional
e: Strategies:

Curricular Competency/Content-Based Goals

Course/Subj Teacher/Support
ect: Staff:
Learning
Standard:
Objectiv Instructional
e: Strategies:
Objectiv Instructional
e: Strategies:

Curricular Competency/Content-Based Goals

Course/Subj Teacher/Support
ect: Staff:
Learning
Standard:
Objectiv Instructional
e: Strategies:
Objectiv Instructional
e: Strategies:

Additional Comments